Phone No. Fax No.: ………………………………………...
Phone No. Phone No.
Phone No. Fax No.:
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Phone No. Signed......................................................
Phone No. EMAIL: To assist with student learning the Abbotsford School District is lending district owned property as shown above for use at home. There is no charge for this property loan. I understand that technical support will only be available during school hours.
Phone No. Builder Plumber Owner Other (specify) ........................................
Phone No. (hm) ……………………………………… (wk) …………................................. (mob)..................................................................
Phone No. Enter the telephone number of the firm submitting the Payroll Report in the space provided. AGENCY: Enter the name of the New York City government agency that has the contract with the Prime Contractor. PAYROLL NO.: In the space provided, enter the Payroll Number of the Contractor or Subcontractor.
Phone No. 3. Fax No. 4. Date of Establishment of Firm 5 If your Firm Registered under:-
A) The Indian Factories Act/Shops &Establishment Act:-
B) Any other Act, if not, who are the owners (Please give full address):- 6. Name and Address of your Bankers stating the name in which the Account stands:- 7. Whether insured against fire, theft, bulgary etc. If so, please state the amount and name of company with policy no.:- 8. Total number of Employees:- 9. Are you in the list of approved contractors of any other Organizations/institutions, if any give details:- 10 Give details of any Government contracts executed during the last twelve months:- 11 Any other information which you consider necessary to furnish:
a) I, the undersigned certify that I have gone through the terms and conditions mentioned in the tender document and undertake to comply with them.
b) The rates quoted by me are valid and binding upon me for the entire period of contract and it is Certified that the rates quoted are the lowest quoted for any other institution/hospital in India.
c) The xxxxxxx money of Rs. to be deposited by me has been enclosed herewith vide Demand Draft no. ,Dt. , drawn on bank Branch .
d) I/we give the rights to Medical Superintendent to forfeit the security money deposited by me/us if any delay occur on my/agent’s part or failed to supply
e) The article within the appointed time or the items of desired quality. There is no vigilance / CBI case or court case pending against the firm.
f) I hereby undertake to supply the items as per directions given in the tender document / supply order within stipulated period. From To , Sir, The Medical Superintendent, ESIC Hospital, Coimbatore- 641015 Sub: Request for refund of EMD Amount – reg. *** With reference to your advertisement dated , we have submitted tender for In case we are not successful bidder, we request you to kindly refund the EMD amount of Rs. The Cheque may be kindly be drawn in favour of Beneficiary’s Name : Account No. : A/C Savings / Current: IFSC Code No. : Bank Name : Branch Name & Address : Yours faithfully, (SEAL) Received on amount of Rs…………………………… vide cheque No… dated ……………………… from ESI Corporation towards refund of EMD amount. (SEAL) QUOTE YOUR RATE SCHEDULE FOR LOCAL PURCHASE OF REAGENTS CHEMICALS AND CONSUMABLES/GENERAL ITEM 1 UREA XXXXXXXXX REAGENT 6x100ml 2 CREATININE KIT 4x60ml 3 CHOLESTEROL KIT 5x30ml 4 HDL CHOLESTEROL KIT 4x25ml 5 BILURUBIN (TOTAL AND DIRECT) 2x100ml 7 ALBUMIN 4X125ml 8 ALP DGKC 5X60ml 9 ALT...
